PMID- 32933452
OWN - NLM
STAT- MEDLINE
DCOM- 20211028
LR  - 20211028
IS  - 2042-6186 (Electronic)
IS  - 1066-9817 (Print)
IS  - 1066-9817 (Linking)
VI  - 29
IP  - 3
DP  - 2021 Jun
TI  - Embedding pain neuroscience education in the physical therapy management of 
      patients with chronic plantar fasciitis: a prospective case series.
PG  - 158-167
LID - 10.1080/10669817.2020.1821327 [doi]
AB  - OBJECTIVES: The purpose of this case series was to describe the effects of a 
      biopsychosocial approach that embeds pain neuroscience education (PNE) within 
      physical therapy for improving foot and ankle function, pain, and psychosocial 
      factors in patients with chronic plantar fasciitis. METHODS: Seven female 
      patients (mean [SD] age = 49.0 [11.4] years) receiving physical therapy for 
      chronic plantar fasciitis were enrolled. Along with formal physical therapy, 
      patients received six 15-minute PNE sessions. Knowledge of pain neuroscience was 
      assessed before and after PNE with the Revised Neurophysiology of Pain 
      Questionnaire. Patients completed questionnaires for foot and ankle function 
      (Activities of Daily Living subscale of the Foot and Ankle Ability Measure), pain 
      intensity (Numeric Rating Scale), pain catastrophizing (Pain Catastrophizing 
      Scale), and fear of movement (Tampa Scale for Kinesiophobia) at baseline (before 
      treatment) and 6 and 12 weeks. Local and remote pain sensitivity was assessed 
      using a pressure algometer at baseline and 6 weeks. RESULTS: Patients attended a 
      mean (range) of 8.7 (7 to 12) physical therapy sessions over a mean (range) of 
      46.7 (42 to 56) days. After PNE, six (86%) patients demonstrated increased 
      knowledge of pain neuroscience. At 12 weeks, six (86%) patients met or exceeded 
      minimally clinically important difference (MCID) for foot and ankle function and 
      pain. Five (71%) patients met or exceeded MCID for pain catastrophizing and fear 
      of movement. Local pain sensitivity was reduced in six (86%) patients. 
      CONCLUSIONS: Physical therapy integrating PNE is potentially beneficial for 
      patients with chronic plantar fasciitis. Future studies should examine the 
      efficacy of PNE in randomized trials with larger representative samples.
FAU - Mills, Katherine M
AU  - Mills KM
AD  - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, 
      Nashville, TN, USA.
FAU - Preston, Emily B
AU  - Preston EB
AD  - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, 
      Nashville, TN, USA.
FAU - Choffin Schmitt, Breanna M
AU  - Choffin Schmitt BM
AD  - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, 
      Nashville, TN, USA.
FAU - Brochu, Haley K
AU  - Brochu HK
AD  - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, 
      Nashville, TN, USA.
FAU - Schafer, Eden A
AU  - Schafer EA
AD  - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, 
      Nashville, TN, USA.
FAU - Robinette, Payton E
AU  - Robinette PE
AD  - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, 
      Nashville, TN, USA.
FAU - Sterling, Emma K
AU  - Sterling EK
AD  - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, 
      Nashville, TN, USA.
FAU - Coronado, Rogelio A
AU  - Coronado RA
AUID- ORCID: 0000-0002-7112-4903
AD  - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, 
      Nashville, TN, USA.
LA  - eng
GR  - UL1 TR002243/TR/NCATS NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20200915
PL  - England
TA  - J Man Manip Ther
JT  - The Journal of manual & manipulative therapy
JID - 9433812
SB  - IM
MH  - Activities of Daily Living
MH  - Catastrophization
MH  - *Fasciitis, Plantar/therapy
MH  - Female
MH  - Humans
MH  - Middle Aged
MH  - Pain Measurement
MH  - Pain Threshold
PMC - PMC8183540
OTO - NOTNLM
OT  - Chronic pain
OT  - musculoskeletal pain
OT  - pain management
OT  - pain neuroscience education
OT  - physical therapy modalities
OT  - plantar fasciitis
COIS- No potential conflict of interest was reported by the authors.
EDAT- 2020/09/17 06:00
MHDA- 2021/10/29 06:00
PMCR- 2021/09/15
CRDT- 2020/09/16 05:28
PHST- 2020/09/17 06:00 [pubmed]
PHST- 2021/10/29 06:00 [medline]
PHST- 2020/09/16 05:28 [entrez]
PHST- 2021/09/15 00:00 [pmc-release]
AID - 1821327 [pii]
AID - 10.1080/10669817.2020.1821327 [doi]
PST - ppublish
SO  - J Man Manip Ther. 2021 Jun;29(3):158-167. doi: 10.1080/10669817.2020.1821327. 
      Epub 2020 Sep 15.